Sample Record

Owner Lab

  • CT HQ - Sacramento Chemistry Laboratory

DIME Sample ID 2025-05-20-61

Project Information

Project IdentifiersProject ID: 1000571
DEA: 07354704
EFIS: 0718000355
DIST-CO-RTE-PM07-LA-710-22.0,22.2
Award Date02/06/2025
Closeout DateNot set
Work DescriptionCLEAN AND PAINT BRIDGE.
Location DescriptionLOS ANGELES COUNTY IN COMMERCE AND VERNON AT HOBART YARD OVERHEAD AND AT ATLANTIC BOULEVARD AND BANDINI BOULEVARD ON-RAMP
QA Service Level1 (Verified on 09/17/2024)

Sample Information

Sample Taken Date05/20/2025 Sample Unique Key61
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing05/21/2025
Sample typeQuality Assurance A brief description of the samplePWB-174A
The quantity of what the sample constitutes1/2 pt From where was the sample collectedManufacturer
First name of sampler or witnessed byWesley Last name of sampler or witnessed byPowell
Title of samplerTET Telephone number of sampler
Laboratory sample identificationC250677 Linked DIME Sample ID
The fabricator/manufacturer/facility nameStiles Paint Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) Form Structure unique identifier
Structure name Bid ItemNot set

Material Information

Material TypePaint Batch No.782525
Color26622 Light Gray Batch size400 gals
Date of Manufacturing2025-05-20 Paint SpecificationPWB 174
Paint Specification VersionA

Submitted Tests

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